NPIMap

Organization Active NPI

Hortons Orthotic Lab Inc

  • Prosthetic/Orthotic Supplier
  • Bryant, AR
National Provider Identifier
1306129747
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HORTONS ORTHOTIC LAB INC
Practice address
605 W Commerce Dr
Bryant, AR 72022-7510
Phone
(501) 663-2908
Fax
(501) 663-3994
NPI assigned
Sep 22, 2011
Organization subpart
Yes
Parent organization
HORTONS ORTHOTIC LAB INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary Horton, CO
Title
Owner
Phone
(501) 663-2908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

605 W Commerce Dr
Bryant, AR 72022-7510

Mailing address

5220 W 12TH St
Little Rock, AR 72204-1857
Phone (501) 663-2908

Other names 1

  • Hortons Orthotics & Prosthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120330000152 AR DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - OtherDME Supplier - Pedorthic Personnel 9638297096 Practice locations: Bryant, AR

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Horton'S Orthotic Lab, Inc605 W Commerce Dr, Bryant, AR 72022-7510(501) 663-2908 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Hortons Orthotic Lab8 organizations share this tax ID, including this one
Part of
Hortons Orthotic Lab

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1306129747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041857",
            "telephone_number": "501-663-2908",
            "fax_number": "501-663-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W COMMERCE DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227510",
            "telephone_number": "501-663-2908",
            "fax_number": "501-663-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORTONS ORTHOTIC LAB INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORTONS ORTHOTIC LAB INC",
        "enumeration_date": "2011-09-22",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-663-2908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hortons Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.